Organization Name: | LONG TERM HEALTH CARE HOSPICE INC |
NPI Number: | 1114291564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVIN MANZON (CEO) |
Mailing Address: | 1480 Colorado Blvd Suite 125 Los Angeles |
State: | CA US |
Postal Code: | 900412357 |
Phone Number: | 3233752692 |
Fax Number: | 3236228007 |
NPI Enumeration Date: | 03/02/2012 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |